Tufts Health Plan Medicare Plans Earn 5 Stars from Centers for Medicare and Medicaid Services

Business Wire

One of 14 plans nationally to receive the rating

WATERTOWN, Mass.--(BUSINESS WIRE)-- For a second year in a row, Tufts Health Plan has earned 5 stars out of a possible 5 for its Tufts Medicare Preferred HMO and Senior Care Options plans from the Centers for Medicare and Medicaid Services (CMS) as part of its annual Star ratings for 2017. Tufts Medicare Preferred HMO is the largest Medicare Advantage plan in Massachusetts with nearly 105,000 members.

Tufts Health Plan received the distinction for both quality and performance. CMS rated nearly 400 Medicare Advantage plans this year. The rating puts Tufts Medicare Preferred HMO and Senior Care Options plans among the top four percent of plans nationally.

“The 5 Star rating reflects the efforts of our entire organization, and of each and every interaction we have with our members,” said Patty Blake, president of Senior Products at Tufts Health Plan. “It also reflects the collaboration with the providers in our network, who provide high quality care and service to these older adults, many of whom have complex medical needs. We take great pride in achieving this distinction as it reflects our continuous commitment to ensure the best possible service and care for all of our members.”

CMS calculates Star ratings from 1 to 5 (with 5 being the best) based on quality and performance for Medicare health and drug plans to help beneficiaries, their families and caregivers compare plans. Ratings are given for quality measures across several categories including keeping members healthy, managing chronic conditions, member satisfaction, customer service and pharmacy services.

Tufts Medicare Preferred HMO and Senior Care Options plans received 5 stars in 23 out of 42 measures including:

Rating of Health Care Quality
Rating of Health Plan
Care Coordination
Getting Appointments and Care Quickly

The top rating from CMS comes on the heels of a recent announcement that Tufts Health Plan’s private HMO/PPO Commercial plans received a rating of 5 – the highest rating possible – by the National Committee on Quality Assurance.* Tufts Health Plan is the only health plan in the nation to receive the rating for both its HMO and PPO products. Tufts Health Plan PPO is the only PPO plan in America to receive the 5 out of 5 rating. Tufts Health Plan’s Medicaid plans also rated very high, achieving a 4.5 out of a possible 5.**

About Tufts Health Plan
Tufts Health Plan is nationally recognized for its commitment to providing innovative, high-quality health care coverage. Staying true to our mission of improving the health and wellness of the diverse communities we serve, we touch the lives of more than one million members in Massachusetts, New Hampshire and Rhode Island through employer-sponsored plans, Medicare and Medicaid/subsidized plans, offering health insurance coverage across the life span regardless of age or circumstance.

For more information, visit us at www.tuftshealthplan.com.

*NCQA’s Private Health Insurance Plan Ratings 2016–2017
**NCQA’s Medicaid Health Insurance Plan Ratings 2016–2017

Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next. Visit Medicare.gov for more information.

Tufts Health Plan Medicare Preferred is an HMO plan with a Medicare contract. Enrollment in Tufts Medicare Preferred HMO depends on contract renewal. The Senior Care Options plan is available to those 65 and older who have MassHealth Standard (Medicaid).
Tufts Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
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